Will Kill Termites and Pests
Big Island call
1-808-987-6929
LIC# PCO1126
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Termite Inspection Request Form
Please fill in all
*
required fields.
Agent Information
*
Requested By:
*
E-mail Address:
*
Phone #:
Fax #:
*
Company Name:
Company Address:
City:
Zip Code:
Representing:
Buyer
Seller
Escrow
Preferred Inspection Date:
Property Information
*
Property Address:
Unit/Apt#:
*
City:
*
Zip Code:
Type of Dwelling:
Commercial
Condominium
Single Family
Other
Number of Bedrooms:
Bathrooms:
Total Square Footage:
Inspect Out Building:
Yes
No
*
TMK:
*
Seller Name:
Property Vacant:
Yes
No
Lockbox Combination:
Buyer Name:
Tenant Name :
Tenant Phone #:
Date of Last
Termite Treatment:
Treatment by Whom:
Directions to Property:
Escrow Information
*
Escrow Company:
Escrow Officer:
Escrow Address:
City:
Zip Code:
*
Escrow E-mail:
*
Escrow Phone #:
*
Escrow Fax #:
*
Escrow Number:
*
Closing Date:
Billing Information
Bill to Name:
Address:
Phone #:
Additional Comments:
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